Management of Vaginal Prolapse After Orthotopic Bladder
Recommended Citation
Etta PD, Majdalany SE, Raza JS, and Atiemo HO. Management of Vaginal Prolapse After Orthotopic Bladder. Curr Bladder Dysfunct Rep 2023.
Document Type
Article
Publication Date
7-24-2023
Publication Title
Curr Bladder Dysfunct Rep
Abstract
Purpose of review: Pelvic organ prolapse is a well-understood clinical condition in many women that can lead to pelvic discomfort, sexual dysfunction, and voiding difficulty. Iatrogenic pelvic organ prolapse is a known complication of radical cystectomy with urinary diversion in women. The prevention, diagnosis, and management of this complication are not well described in literature and practice, creating a gap in the surgical care of women with bladder cancer. We sought to further investigate this phenomenon.
Recent findings: While many causes of post-cystectomy pelvic organ prolapse are the same as those in the general female population, it is imperative to describe the normal anatomy and physiology of the female pelvis that, when disrupted during radical cystectomy, can increase the risk of this phenomenon. The clinical evaluation of post-cystectomy pelvic organ prolapse requires pelvic examinations and few diagnostic studies.
Summary: Traditional management of pelvic organ prolapse may be challenging after radical cystectomy; thus, it is important for surgeons to have knowledge of the existing techniques for prevention and correction of this distressing sequala. In this manuscript, we present the evidence-based literature regarding this subject matter and describe the techniques at our institution to prevent and treat this condition. Robust prospective studies are needed to better understand the prevention and management of pelvic organ prolapse after radical cystectomy in women.
ePublication
ePub ahead of print
